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[Halo-fixator vest--indications and complications].
- Source :
-
Zentralblatt fur Chirurgie [Zentralbl Chir] 2007 Feb; Vol. 132 (1), pp. 54-9. - Publication Year :
- 2007
-
Abstract
- Over the period between 06/00 and 03/03, 41 patients with different injuries of the upper cervical spine were treated by a halo fixator and were statistically recorded. The collective showed different injury patterns, 2 fractures of occiput condyles (5%), 3 Jefferson fractures (7%), 1 combined injury of the odontoid process and an atlas fracture (2%), 32 odontoid fractures (78%), 2 hanged-man-fractures Typ Effendi II (5%) and one case of pathologic fractures from the 2. to the 4. cervical vertebral body based on a plasmocytoma (2%). 31 of 41 patients could be examined for a follow up; 40 complete medical histories were well documented and could be analysed. As complications we had screw loosening in 6 cases (15%), a complete tear out of screws in 2 cases (5%). One patient took the halo away by himself two times, so after the second time surgical stabilisation was performed (2,5%). One case of intracranial penetration of a screw happened after the patient fell down in an accident with the halo (2,5%). Infection of the screw pins appeared in 4 cases (10%) and we had 2 cases of skin necrosis (5%). A second reduction after redisplacement was necessary in 8 cases (20%). 23 patients suffered from pain at the insertion of the screws (75%) and 18 patients complained of pressure in the head (58%). On the question of the comfort of this kind of therapy answered 18 patients with "intolerable" (58%), 10 patients with middle (32%) and 3 patients with tolerable (10%). Despite of the large number of different complications and the miscomfort of a halo fixator we think that there are still indications for treatment of special injuries of the upper cervical spine with a halo fixator. One important aspect is the lack of adequate alternatives even with regard to the biomechanical stability.
- Subjects :
- Aged
Aged, 80 and over
Bone Screws
Cervical Vertebrae surgery
Equipment Failure Analysis
Female
Follow-Up Studies
Fracture Healing physiology
Fractures, Spontaneous surgery
Head Movements physiology
Humans
Male
Odontoid Process injuries
Odontoid Process surgery
Pain etiology
Patient Satisfaction
Plasmacytoma surgery
Retrospective Studies
Spinal Neoplasms surgery
Cervical Vertebrae injuries
External Fixators
Occipital Bone injuries
Postoperative Complications etiology
Skull Fractures surgery
Spinal Fractures surgery
Subjects
Details
- Language :
- German
- ISSN :
- 0044-409X
- Volume :
- 132
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Zentralblatt fur Chirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 17304437
- Full Text :
- https://doi.org/10.1055/s-2006-960479